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Contact Information
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| Child(ren)sFull Name* |
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Child(ren)s Age* |
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ParentFirst Name*
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State* |
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Parent
LastName*
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Zip* |
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| Address* |
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Phone |
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| City* |
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Email* |
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Suggested Donation:
$10 per child
Event Sponsor $54
Chabad of North Brooklyn's programs are funded thanks to our generous sponsors!
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| $ (address above should match card billing address) |
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Exp. Date |
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CVV Code |
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You may send checks to Chabad of North Brooklyn
132 North 5th St #2c, | Brooklyn, NY 11249 or bring cash or check to the party |
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